PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
DCI-1: Topic Guide on Program Design
Unchanged
20
20
0
Other-Topic Guide
DCI-2: Topic Guide on Program Implementation
Unchanged
100
100
0
Other-Topic Guide
DCI-3: Focus group Protocol
Unchanged
267
401
0
Other-Topic Guide
DCS 4: SAQ Pre-Test and Post-Test - Program Staff Entry
Modified
25700
7710
0
Other-Pre-test HM Adults
Other-Post-test HM Adults
Other-Pre-test HM Youth
Other-Post-test HM Youth
Other-Pre-test RF Comm Fathers
Other-Post-test RF Comm Fathers
Other-Pre-test RF Inc Fathers
Other-Post-test RF Inc Fathers
DCS 4: SAQ Program Participant Pre-Test
Modified
79831
33529
0
Other-Pre-test RF Comm Fathers
Other-Pre-test Youth
Other-Pre-test HM Adults
Other-Pre-test RF Inc Fathers
DCS 4: SAQ Program Participants Post-Test
Modified
44029
18492
0
Other-Post-test HM Youth
Other-Post-test RF Comm Fathers
Other-Post-test Inc Fathers
Other-Post-test HM Adults
DCS-1: Applicant Characteristics - Program Applicants
Modified
88613
22153
0
Other-
DCS-1: Applicant Characteristics - Program Staff
Modified
88560
8856
0
Other-
DCS-2: Grantee Program Operations
Unchanged
120
90
0
Other-
DCS-3: Service Receipt in MIS
Modified
1197465
39916
0
Other-MIS
DCS-5: Semi-annual Progress Report
Modified
240
720
0
Other-PPR HM Grantees
Other-PPR RF Grantees
DCS-6: Quarterly Performance Report
Modified
240
240
0
Other-QPR HM Grantees
Other-QPR RF Grantees
Total burden requested under this ICR:
1525185
132227
0
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